Active NPI
Sitara Kishore
- Internal Medicine Physician
- Gallatin, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 71322
- Practice address
- 1156 Nashville Pike
Gallatin, TN 37066-3110 - Phone
- (615) 989-1088
- NPI assigned
- Mar 27, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301502275 | MI | |
| Internal Medicine Physician | 207R00000X | 35.148049 | OH | |
| Internal Medicine Physician | 207R00000X | 71322 | TN | Primary |
| Internal Medicine Physician | 207R00000X | 01082070A | IN |
Addresses
Primary practice location
1156 Nashville Pike
Gallatin, TN 37066-3110
Mailing address
1411 W Baddour Pkwy
Lebanon, TN 37087-2513
Phone (615) 444-8262
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, MI, TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1156 Nashville Pike
Gallatin, TN 37066-3110
Phone (615) 989-1088
Hospital & facility affiliations
- Vanderbilt Wilson County Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 71322 | TN | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medicine Physicians of Indiana, LLC | Internal Medicine | Current | Accepting new patients |
| Sound Physicians of Indiana, LLC | Internal Medicine | Current | Accepting new patients |
| Anova Medical Associates, PLC | Hospitalist | Current | Accepting new patients |
| Vituity - Michigan Hospitalists PC | Internal Medicine | Current | Accepting new patients |
| Iha Health Service Corporation | Current | Accepting new patients | |
| Sound Physicians of Indiana, LLC | Internal Medicine | Current | Accepting new patients |
| Iha Health Services Corporation | Current | Accepting new patients | |
| Iha Health Services Corporation | Hospitalist | Current | Accepting new patients |
Locations
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
601 W 2nd St
Bloomington, IN 47403
Phone (812) 353-5252
7950 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 434-7088
7952 W Jefferson Blvd
Fort Wayne, IN 46804
Phone (260) 435-2999
5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443
24 Frank Lloyd Wright Dr
Ann Arbor, MI 48105
Phone (734) 930-7400
406 E Elm St
Carson City, MI 48811
Phone (517) 584-3131
128 Van Buren St
Chelsea, MI 48118
Phone (734) 475-8677
1215 E Michigan Ave
#8W
Lansing, MI 48912
Phone (517) 364-2614
1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080
44428 Woodward Ave
Ste 102
Pontiac, MI 48341
Phone (734) 712-8700
5301 McAuley Dr
Ypsilanti, MI 48197
Phone (734) 712-7246
5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674
1156 Nashville Pike
Gallatin, TN 37066
Phone (615) 989-1088
1411 W Baddour Pkwy
Lebanon, TN 37087
Phone (615) 443-2500
Interoperability endpoints
- skishore824221@direct.vumc.org
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hospitalist Physician
- Gallatin, TN
- NPI 1659849537
-
- Internal Medicine Physician
- Brentwood, TN
- NPI 1720416555
IN
-
- Obstetrics & Gynecology Physician
- Canton, MI
- NPI 1457408965
-
- Hospitalist Physician
- Lansing, MI
- NPI 1487278156
Internal Medicine
-
- Long Term Care Hospital
- Lansing, MI
- NPI 1437655842
-
- Obstetrics & Gynecology Physician
- Ypsilanti, MI
- NPI 1831053701
-
- Hospitalist Physician
- Ypsilanti, MI
- NPI 1306121405
-
- Hospitalist Physician
- Terre Haute, IN
- NPI 1184063257
Internal Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lebanon, TN
- NPI 1306889597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722556800000",
"number": "1831551993",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1411 W BADDOUR PKWY",
"city": "LEBANON",
"state": "TN",
"postal_code": "370872513",
"telephone_number": "615-444-8262"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1156 NASHVILLE PIKE",
"city": "GALLATIN",
"state": "TN",
"postal_code": "370663110",
"telephone_number": "615-989-1088"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KISHORE",
"first_name": "SITARA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-03-27",
"last_updated": "2024-08-02",
"certification_date": "2024-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301502275",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "OH",
"license": "35.148049",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "71322",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IN",
"license": "01082070A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gallatin, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.